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The Role of Nitric Oxide in the Autoregulation of Cerebral Blood Flow and the Pathogenesis of Cerebral Vascular Spasm in Patients with Ruptured Cerebral Aneurysms

https://doi.org/10.23934/2223-9022-2023-12-4-637-649

Abstract

   The presented literature review is devoted to the role of the endothelial relaxing factor – nitric oxide (NO) – in the regulation of cerebral blood flow in patients with ruptured intracranial aneurysms. Modern views on the physiology of NO, methods of regulation and autoregulation of its synthesis are described, experimental and clinical data on the disruption of the production of the endothelial relaxing factor in subarachnoid hemorrhage are presented.

About the Authors

A. V. Prirodov
N.V. Sklifosovsky Research Institute for Emergency Medicine; N.I. Pirogov Russian National Research Medical University
Russian Federation

Aleksandr V. Prirodov, Doctor of Medical Sciences, Head of the Department, Leading Researcher, Professor, Honored Doctor of Moscow

Neurosurgical Department

Department of Emergency Neurosurgery

129090

3, Bolshaya Sukharevskaya Sq.

Department of Fundamental Neurosurgery

117997

1, Ostrovitianova Str.

Moscow



S. V. Zhuravel
N.V. Sklifosovsky Research Institute for Emergency Medicine; N.I. Pirogov Russian National Research Medical University; A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Sergey V. Zhuravel, Doctor of Medical Sciences, Head of the Department, Professor, Associate Professor

Neurosurgical Department

Scientific Department of Anesthesiology

129090

3, Bolshaya Sukharevskaya Sq.

Department of Anesthesiology, Resuscitation and Intensive Care named after Professor V. D. Malyshev

117997

1, Ostrovitianova Str.

Department of Anesthesiology, Reanimatology and Emergency Medicine

127473

20, bldg. 1, Delegatskaya Str.

Moscow



E. Yu. Bakharev
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Evgeniy Yu. Bakharev, Candidate of Medical Sciences, Neurosurgeon, Senior Researcher

Neurosurgical Department

Department of Emergency Neurosurgery

129090

3, Bolshaya Sukharevskaya Sq.

Moscow



I. I. Goncharova
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Irina I. Goncharova, Candidate of Medical Sciences, Anesthesiologist-Resuscitator, Senior Researcher

Neurosurgical Department

Department of Anesthesiology

129090

3, Bolshaya Sukharevskaya Sq.

Moscow



P. D. Zorin
N.V. Sklifosovsky Research Institute for Emergency Medicine; N.I. Pirogov Russian National Research Medical University
Russian Federation

Pavel D. Zorin, Anesthesiologist-Resuscitator, postgraduate student

Neurosurgical Department

Department of Anesthesiology and Resuscitation No 1

129090

3, Bolshaya Sukharevskaya Sq.

Department of Anesthesiology, Reanimatology and Intensive Care named after Professor V. D. Malyshev

117997

1, Ostrovitianova Str.

Moscow



E. V. Klychnikova
N.V. Sklifosovsky Research Institute for Emergency Medicine; N.I. Pirogov Russian National Research Medical University
Russian Federation

Elena V. Klychnikova, Candidate of Medical Sciences, Head of the Department, Associate Professor

Neurosurgical Department

Scientific Department of the Clinical and Biochemical Laboratory of Emergency Research

129090

3, Bolshaya Sukharevskaya Sq.

Medical and Biological Faculty

Department of General Pathology

117997

1, Ostrovitianova Str.

Moscow



E. V. Tazina
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Elizaveta V. Tazina, Candidate of Medical Sciences, Senior Researcher

Neurosurgical Department

Scientific Department of the Clinical and Biochemical Laboratory of
Emergency Research

129090

3, Bolshaya Sukharevskaya Sq.

Moscow



A. A. Grin
N.V. Sklifosovsky Research Institute for Emergency Medicine; N.I. Pirogov Russian National Research Medical University
Russian Federation

Andrey A. Grin, Corresponding Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Head of the Department, Professor

Neurosurgical Department

Scientific Department of Emergency Neurosurgery

129090

3, Bolshaya Sukharevskaya Sq.

Department of Fundamental Neurosurgery

117997

1, Ostrovitianova Str.

Moscow



S. S. Petrikov
N.V. Sklifosovsky Research Institute for Emergency Medicine; A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation

Sergey S. Petrikov, Corresponding Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Director of the Research Institute, Anesthesiologist-Resuscitator, Professor

127473

Neurosurgical Department

129090

3, Bolshaya Sukharevskaya Sq.

Department of Anesthesiology, Reanimatology and Emergency Medicine

20, bldg. 1, Delegatskaya Str.

Moscow



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For citations:


Prirodov A.V., Zhuravel S.V., Bakharev E.Yu., Goncharova I.I., Zorin P.D., Klychnikova E.V., Tazina E.V., Grin A.A., Petrikov S.S. The Role of Nitric Oxide in the Autoregulation of Cerebral Blood Flow and the Pathogenesis of Cerebral Vascular Spasm in Patients with Ruptured Cerebral Aneurysms. Russian Sklifosovsky Journal "Emergency Medical Care". 2023;12(4):637-649. https://doi.org/10.23934/2223-9022-2023-12-4-637-649

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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)